complaint·February 9, 2026

their rooms and in the dining room; in addition Med Techs provide medications timely. During interviews with residents, six (06) out of nine (09) residents stated they have not called for assistance but three (3) residents stated that when pulling the cord, staff respond with five (05) to ten (10) minutes or sooner. LPA Shahbazian pulled the cord for the signal system in two rooms and one bathroom and in each incident, caregivers attended to residents within 2 minutes. LPA Shahbazian interviewed nine (9) care staff members, working in various shifts. All care staff members stated that they are assigned to assist 16-20 residents during their daily shift but approximately 5-8 residents needs total care and others require assistance every 2-3 hours. Care staff stated they shower residents two times or more weekly, assist with ADLs, cleaning the rooms, taking out the trash and assisting residents in the dining room. All staff interviewed stated they feel they are short staffed, they all help each other to ensure residents are care for. Several staff members informed LPA that due to shortness of staff, facility is using caregivers from agencies, also Med Techs and LVN do assist caregiver when needed. Interview with Executive Director revealed that usually there are five (5) caregivers in the morning shift, four (4) assigned to pm shift and three (3) to graveyard shift and each caregiver is assigned to approximately sixteen (16) residents daily. Executive Director stated that currently one (1) caregiver is out on medical leave and residents for the caregiver are divided amongst the other caregivers, but there is enough coverage per shift. In addition Executive Director mentioned that caregivers, housekeepers and med techs all assist each other and communicate with each, to ensure residents are assisted as soon as possible or within seven (7) minutes. Executive Director stated that facility uses services from two (2) separate staffing agencies to complete any caregiver staff shortages. Records obtained by LPA from September 2025 through current, revealed that facility has been using caregivers from the staffing agencies, on regular basis, to cover staff during various shifts. During the initial complaint visit on 10/28/2025 LPA had observed a banner hanging outside regarding hiring but during today's visit LPA did not see the banner. Executive Director stated that they have hired a Human Resources Manager at the facility, in order to concentrate on interviewing and hiring staff, including caregivers and housekeepers. Facility has hired five (5) caregivers and one (1) housekeeper in January 2026 and are still recruiting for more caregivers. During facility visits, residents were observed to be appropriately supervised, and staff were present and engaged in resident care activities. Based on staff interviews and records review, if was reveled that facility is using staffing agencies and has hired multiple caregivers to address staff shortages. Therefore, the allegation is UNSUBSTANTIATED at this time. Licensee does not ensure that staff are adequately trained. It was alleged that the caregivers do not have proper training to provide care to residents. To investigate the allegation, LPA Shahbazian interviewed nine (9) caregivers. All caregivers stated that they feel the training was sufficient in the beginning and there is always trainings and meetings to cover various topics. Caregivers stated that initial training is learning facility policies and online training specific for their duties. In addition, they stated for 2-3 weeks caregivers shadow other senior caregivers and med techs to learn their tasks. Based on interviews with staff, it was revealed that staff are satisfied with their training and facility provides continued training to all staff. Therefore, the allegation is UNSUBSTANTIATED at this time. Licensee does not ensure that the facility has sufficient hygiene supplies. It was alleged that facility does not have enough gloves or hygiene supplies such as shampoo or personal care items. To investigate the allegation, LPA Shahbazian interviewed staff who revealed that there is no shortage of personal or hygiene supplies. Staff informed LPA that they are always provided a supply of masks, gloves and any required items at the front desk but several caregivers stated the quality of the gloves are not good. Interview with Office Manager revealed that it is their responsibility to purchase supplies, including office and personal care items. Supplies are ordered every 2 weeks and there is available funds for any immediate purchases. LPA toured the facility with Office Manager and observed three storage areas filled with boxes of masks, alcohol pads, shampoos, gloves, incontinence supplies, office supplies and medical supplies. LPA also observed supplies in med room and front reception area. Based on interviews and observations, the allegation is UNSUBSTANTIATED at this time. Exit interview conducted and copy of the report was signed and given to the Administrator.